Active NPI
New Jersey Totalhealth Medicals P.a.
- Pediatrics Physician
- Livingston, NJ
National Provider Identifier
1225540719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MA72322
- Legal business name
- NEW JERSEY TOTALHEALTH MEDICALS P.A.
- Practice address
- 209 S Livingston Ave
Livingston, NJ 07039-4044 - Phone
- (973) 992-8189
- NPI assigned
- Oct 25, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bonney Cai-Luo, MD
- Title
- Owner
- Phone
- (973) 992-8189
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA72322 | NJ | |
| Pediatrics Physician | 208000000X | MA72322 | NJ | Primary |
Addresses
Primary practice location
209 S Livingston Ave
Livingston, NJ 07039-4044
Mailing address
209 S Livingston Ave
Livingston, NJ 07039-4044
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2218430 | New Jersey Totalhealth Medicals PA | Certificate of waiver | Mar 28, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508889600000",
"number": "1225540719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 S LIVINGSTON AVE",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070394044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 S LIVINGSTON AVE",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070394044",
"telephone_number": "973-992-8189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW JERSEY TOTALHEALTH MEDICALS P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-25",
"last_updated": "2017-10-25",
"status": "A",
"authorized_official_last_name": "CAI-LUO",
"authorized_official_first_name": "BONNEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-992-8189",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA72322",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NJ",
"license": "MA72322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.